Laura Crosby, LPC
Professional Counselor · Houston, TX 77042 · NPI 1144717281 · 1 payer file
73%of Medicare
Aetna — Texas (office visit and psychotherapy codes only) pays Laura Crosby, LPC $100.78 for a 99214 — Office visit, established patient, moderate complexity. Medicare pays $137.41 for the same service in this locality. Commercial insurance is widely assumed to pay above Medicare. The file lists 20 contract rows for this clinician and code, from $78.21 to $119.71; the median is shown.
Negotiated rates vs Medicare
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston professional counselors, same plan |
|---|---|---|---|---|---|
| 99214Office visit, established patient, moderate complexity | Aetna — Texas (office visit and psychotherapy codes only) | $100.78median of 20 rows · $78.21–$119.71 | $137.41 | 73% | above 67% of 1,207 Houston professional counselors on this plan |
Also contracted — outside this specialty’s usual billing
| Service | Payer · plan | Negotiated | Medicare | % of Medicare | Among Houston professional counselors, same plan |
|---|---|---|---|---|---|
| 90833Psychotherapy, 30 minutes, add-on to an office visit | Aetna — Texas (office visit and psychotherapy codes only) | $60.13median of 18 rows · $53.05–$70.74 | $82.68 | 73% | not typically billed by professional counselors |
A payer’s file carries a rate for every code in the contract’s fee class, whether or not the clinician will ever bill it. These rows are real, and they are how the fee class shows through — but they are not evidence that Laura Crosby, LPC performs these services, and they are kept out of the benchmark above.